Page 16 - Burnham BG 2018-19 v4
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INCOME PROTECTION BENEFITS




                 Basic Life and AD&D Insurance

                 Life insurance protects your family or other beneficiaries in the event of your death while you are still
                 actively employed with the company. Burnham pays for coverage, offered through Standard Insurance, in
                 the amount of one times your annual earnings to a maximum benefit of $300,000. If your death is due to a
                 covered accident or injury, your beneficiary will receive additional benefits through Accidental Death and
                 Dismemberment (AD&D) coverage from Standard Insurance.

                 Voluntary Life and AD&D Insurance

                 In addition to the company provided Basic Life and AD&D benefits, you may elect to purchase additional Term
                 Life and AD&D insurance at discounted group rates provided by Standard Insurance. You pay for this coverage
                 with after-tax dollars through convenient payroll deductions.


                 Employee
                 You may purchase coverage for yourself in increments of $5,000 up to a maximum benefit of $300,000. If
                 you elect this benefit during your initial eligibility period (upon hire), you will not have to complete the health
                 statement, except for coverage amounts that exceed the guarantee issue amount of $150,000.

                 Spouse
                 If you buy coverage for yourself, you may also purchase coverage for your eligible spouse. Coverage for your
                 spouse is available in increments of $5,000 to a maximum benefit of $300,000 and may not exceed your
                 employee election. If you elect this benefit during your initial eligibility period (upon hire), your spouse will not
                 have to complete the health statement, except for coverage amounts that exceed the guarantee issue amount
                 of $25,000.

                 Child(ren)
                 If you buy coverage for yourself, you may also purchase coverage for your eligible dependent child(ren).
                 Benefits for your child(ren) are available in increments of $1,000 to a maximum benefit of $10,000.

                 When You Can Enroll

                 You may enroll in Voluntary Life and AD&D insurance anytime following your initial eligibility
                 period as long as you provide proof of good health. To provide proof of good health, you will be
                 asked to complete a health questionnaire which will be subject to insurance carrier approval.
                 Standard Insurance may approve or decline coverage based on a review of your health
                 history.

















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